[Endarterectomy of the internal carotid. Clinical experience].
The authors report a clinical experience on 37 internal carotid endarterectomies of 33 patients classified as: group A (asymptomatic patients); 4 patients (13%), group B (RIA); 9 patients (27%), group C (stabilized neurological lesions); 19 patients (56%), group D (acute cerebral ischemia): 1 patient (3%). Sixteen thromboendarterectomies (43%) were carried on for the prophylaxis of neurological lesions, 20 (54%) to increase and balance the cerebral blood flow in patients with stable neurological lesions, 1 (3%) for acute cerebral ischemia. The overall operative mortality was 6%, the operative morbidity was 22%. The clinical follow-up concerned 26 patients: the overall mortality was 19%: in survivors the late results were excellent. The rate of postoperative stenosis was 18%: 80% of these arteries had been treated without a patch angioplasty.
Scattone
S
S
Istituto di I Patologia Chirurgica, Università di Cagliari.
Neri
A
A
Pintus
M
M
Uccheddu
A
A
Murgia
C
C
Angioy
F
F
Cossu
L
L
Carau
G
G
Cagetti
M
M
D000368:Aged; D002341:Carotid Artery Thrombosis / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D002343:Carotid Artery, Internal / Q000601:surgery*; D004691:Endarterectomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology
La disostruzione della carotide interna. Esperienza clinica.